![]() ![]() The adaptive intervention protocol will last 6 months. We will conduct a sequential multiple assignment randomized trial (SMART). The specific aims are (1) to verify the effects of the intervention on cardiometabolic and cardiovascular health, lung function, and cardiorespiratory fitness and (2) to verify the relationship between age group and the response rate. Our study aims to investigate the effect of a smartphone app combined with gamification on the level of physical activity of adults and older adults. Despite the motivating results, it remains unclear whether or not app-based interventions can increase the level of physical activity and cardiovascular health. There is scientific evidence suggesting that app-based interventions targeted to increase the level of physical activity might be effective, although multicomponent interventions appear to be more effective than app-based interventions alone.
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